Anthropometry, body composition, dietary intake, physical activity, energy expenditure, quality of life and clinical outcomes in paediatric cancer patients undergoing treatment and after treatment Anthropometry Body composition Physical activity Energy expenditure Quality of life Clinical outcomes Chemotherapy Cancer Paediatric Children
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Part I study will recruit a total of 61 paediatric leukaemia survivor from previous patients who participated in a doctoral thesis project conducted from the year 2009 to 2011 (Tan et al. 2013a; Tan et al. 2013b) as well as paediatric leukaemia survivors not involved in the doctoral study, who were previously diagnosed with ALL or AML at Hospital Tunku Azizah (HTA), Hospital Kuala Lumpur during childhood or adolescence and will have their follow-up visits. Part II study will recruit new patients who are diagnosed with paediatric cancer aged 2.00 to 15.99 years and survive more than 3 months post-diagnosis and have sufficient general condition (Lansky score with at least 50 for patients aged below 16 years) (Lansky et al. 1987). References: Tan, S. Y., Poh, B. K., Chong, H. X., Ismail, M. N., Rahman, J., Zarina, A. L., Juraida, A. R. E., Tahir, A., Ruzita, A. T. and Roslee, R. 2013a. Physical activity of pediatric patients with acute leukemia undergoing induction or consolidation chemotherapy. Leukemia Research 37(1): 14-20. Tan, S., Poh, B. K., Nadrah, M., Jannah, N., Rahman, J. and Ismail, M. 2013b. Nutritional status and dietary intake of children with acute leukemia during induction or consolidation chemotherapy. Journal of Human Nutrition and Dietetics 26: 23-33. Lansky, S. B., List, M. A., Lansky, L. L., Ritter-Sterr, C. and Miller, D. R. 1987. The measurement of performance in childhood cancer patients. Cancer 60(7): 1651-1656.
Exclusion criteria
Exclusion criteria: 1. Patients who require a transplant of bone marrow 2. Concurrent illness, such as diabetes, HIV, TB, hormonal problems, and thyroid disease 3. Children with Down syndrome, neurological developmental disabilities before diagnosis that caused patients cannot cooperate in this study 4. Experiencing any form of fever or sepsis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Body composition At diagnosis, before heading into second, third and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Bioelectrical impedance analysis ,Body composition At diagnosis, before heading into second, third and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Deuterium dilution technique,Total energy expenditure At diagnosis, before heading into second and fourth courses of chemotherapy, as well as 12 months after the first diagnosis. Doubly-labelled water technique,Dietary intake At diagnosis, before heading into second, third and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. 3-day dietary record ,Physical activity At diagnosis, before heading into second, third and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Accelerometer,Quality of life At diagnosis, before heading into second and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Pediatric Quality of Life Inventory version 4.0 ,Clinical measures At diagnosis, before heading into second, third and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Medical record,Physical activity At diagnosis, before heading into second and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Physical activity questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| Body weight At diagnosis, before heading into second, third and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Digital weighing scale ,Standing height At diagnosis, before heading into second, third and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Stadiometer,Mid-upper arm circumference, waist circumference, hip circumference At diagnosis, before heading into second, third and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Lufkin tape ,Skinfold thickness (biceps, triceps, subscapular, iliac crest) At diagnosis, before heading into second, third and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Harpenden skinfold caliper ,Resting metabolic rate At diagnosis, before heading into second, third and fourth courses of chemotherapy, as well as 12 months after the first diagnosis. Indirect calorimetry ,Sleep At diagnosis, before heading into second and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Children's sleep habits questionnaire ,Handgrip strength At diagnosis, before heading into second and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Digital Hand Dynamometer ,Aerobic capacity and endurance At diagnosis, before heading into second and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Six-minute walk test ,Nutrition beliefs and practices At diagnosis, before heading into second and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the first diagnosis. Semi-structured interview ,Symptom screening At diagnosis, before heading into second and fourth courses of chemotherapy, as well as 12 months, 24 months and 36 months after the | — |
Countries
Malaysia
Contacts
National University of Malaysia